| NPI | 1649683988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010945) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010018) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-07-21 |